Correct Answer: D

Rationale: Two-point gait involves simultaneous partial weight-bearing on both legs. For a client who can bear weight on only one leg this gait is not suitable. Four-point gait involves alternating weight-bearing on each leg. It provides a stable and slow gait pattern making it appropriate for a client who can bear weight on only one leg. Swing-through gait is more advanced and involves swinging both crutches and the affected leg forward together. This is typically used for clients with more strength and coordination. Three-point gait involves non-weight-bearing on one leg and requires the use of crutches or an assistive device on one side only. It is not suitable for a client who can bear weight on one leg.

Correct Answer: D

Rationale: Tilted head forward is not necessary during inhaler use. The client should maintain an upright position. Shaking the inhaler before use is correct to ensure proper dispersion of the medication. Rinsing the mouth out before using the inhaler is not necessary for proper technique. Waiting 10 seconds between puffs allows for optimal delivery of the medication to the airways.

Correct Answer: C

Rationale: Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents. The sterile field should be above waist level to avoid contamination. Placing dry sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

Correct Answer: D

Rationale: Two-point gait involves simultaneous partial weight-bearing on both legs. For a client who can bear weight on only one leg this gait is not suitable. Four-point gait involves alternating weight-bearing on each leg. It provides a stable and slow gait pattern making it appropriate for a client who can bear weight on only one leg. Swing-through gait is more advanced and involves swinging both crutches and the affected leg forward together. This is typically used for clients with more strength and coordination. Three-point gait involves non-weight-bearing on one leg and requires the use of crutches or an assistive device on one side only. It is not suitable for a client who can bear weight on one leg.

Correct Answer: A

Rationale: Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever. Encouraging increased fluid intake is appropriate to promote hydration but the specific amount should be individualized based on the client's condition and needs. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.